Jill Grimes, MD, shares her opinions about all things medical, breaking down complex clinical issues into common sense explanations. Please use this information to fuel discussions with your family physician and other health care providers! *However, this blog is for informational purposes only, and should not be considered medical advice, as you (the reader) hereby agree that there is no physician-patient relationship.
Tuesday, February 3, 2015
Measles Memo: VACCINES WORK!
By now you have probably heard about the MEASLES outbreak that originated in Disneyland last month. At this point, over 100 cases (that span at least 14 states) have been documented since the first of this year...and we have only entered February. If you are my age or older (40-something), odds are good you remember HAVING the measles. In my case, I missed the coveted LAST DAY OF SCHOOL in 7th grade...miserably feverish, coughing, aching and covered in itchy red spots, so that particular event is etched in my middle school memories. I lay in bed sobbing in my self-pity for missing all the fun at school that day, as well as the first days of summer. But in truth, I was lucky. The worst part of measles for me was my pre-teenage angst.
Fast forward to medical school, during another measles outbreak in the late 1980's. Our pediatric hospital ward in Houston's medical center was literally filled with very sick kids dealing with complications of measles. Did you know that roughly three out of ten people infected with the measles develops complications? Most of the time, those complications are nonlethal medical "frustrations" like ear infections or diarrhea, but measles also can cause far more serious complications such as pneumonia or encephalitis (brain involvement). Watching a family grieve the loss of a young child from any cause is heartbreaking, but from a preventable disease...words escape me.
In 2000, measles was declared "eliminated" from the United States, meaning that this disease is no longer constantly present here. Measles was not, however, eliminated world-wide. In 2013, the World Health Organization recorded over 400 DEATHS from measles every DAY- primarily in young children under the age of 5. Before routine measles vaccination in the United States (which began in the 1960's), there were over 3 MILLION cases of measles per year, including over 500 annual deaths and nearly 50,000 hospitalizations (each year). Today, thanks to widespread immunization, we are facing a measles outbreak that is only (so far) in the hundreds of cases.
The good news here is that vaccination WORKS- it saves lives. Worldwide immunization strategies with measles have decreased measles deaths by 75% in the last decade, saving an estimated 15.6 million lives. Who is at the most risk today? Anyone un-immunized, including our precious children too young to be immunized yet (less than one year old).
BOTTOM LINE: The major lesson learned from Measles immunization? VACCINES SAVE LIVES. Check with your doctor to be sure your family is up to date!
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